Individual
WENDY W CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 NE MOTHER JOSEPH PL STE 300, VANCOUVER, WA 98664-3296
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL, STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1139
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD60387542
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942430627
—
WA
05
—
500720512
—
OR
01
—
G8961107
MEDICARE PTAN
WA
01
—
R191796
MEDICARE PTAN
OR
Enumeration date
07/16/2009
Last updated
07/21/2022
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